Organization Active NPI

Wesley B Phillips, DDS, PA

Doing business as Vista Smiles of Columbia

  • Dentist
  • Columbia, SC
National Provider Identifier
1104283720
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WESLEY B PHILLIPS, DDS, PA
Doing business as
Vista Smiles of Columbia
Practice address
515 Richland St
Columbia, SC 29201-2320
Phone
(803) 779-9666
Fax
(803) 779-4622
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wesley B Phillips, DDS
Title
President/Owner
Phone
(803) 779-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

515 Richland St
Columbia, SC 29201-2320

Mailing address

515 Richland St
Columbia, SC 29201-2320
Phone (803) 779-9666

Other names 1

  • Vista Smiles of Columbia Doing business as

National Provider Directory

National Provider Directory

Locations

515 Richland St
Columbia, SC 29201
Phone (803) 779-9666

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1104283720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012320",
            "telephone_number": "803-779-9666",
            "fax_number": "803-779-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012320",
            "telephone_number": "803-779-9666",
            "fax_number": "803-779-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY B PHILLIPS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "803-779-9666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Smiles of Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.